MEDICAL CODING CASE STUDY EXAMPLES - Scenarios for How to Dissect an Operative Report for coders
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- เผยแพร่เมื่อ 12 ส.ค. 2020
- You asked, and here it is! I've got two great surgical cases to review. One is a hernia repair and the other is a reduction mammoplasty. As I go through the case, I give some insight into the operative note and even some considerations on the billing side.
Let me know in the comments if these case reviews are helpful and if you'd like to see more of them!
Thank you to mtsamples.com (non-sponsored) for the case studies to discuss in this video!
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I love how you explain things like you are talking to a child without dumbing it down too much and making me feel stupid haha. Please do more videos with scenarios. I love going through iut and seeing if it matches up. It is hard to do this online now without instruction.
Need way more of this content! I love it, and thanks. I appreciate and enjoy this space. It's a great resource.
Love the page turning demo. Really helps noobies like myself
Glad it was helpful!
thank you for your time and support for people like me and many others trying to better themselves with a new career, thanks
I'm preparing to take my CPC in a month or so and I just want to say thank you so much for all of your videos. I have my medical coding and billing certificate, but honestly didn't retain as much as I'd hoped due to everything being online because of Covid and the schools campus being closed most of the past year. Once again, big thanks and I look forward to diving into all of your content!!
Thank You so much for the case studies. I taking my cpt exam in march. I need all the studying I can get.
Good basic cases, new coders should watch this video.
Thanks, Michael!
Omg you are best thing since slice bread, thanks for your breakdowns. Makes it seem effortless. I know that I have along way to go but thanks to you I am well on my way.😊
Thank you. Appreciate the coding cases explanations.
THANK you so so much! I have been struggling with putting it all together and finding my groove. I'm in Expanded Medical Coding. Trying to remember the guidelines and policies while not leaving anything out has been a monster! Especially when my professors are asking for CM PCS AND CPT codes even when they don't apply, leaving out Meds, Injections, etc when they do apply. UGH! My head is spinning and I am spent!
So again, thank you, your walk through these scenarios is an absolute blessing! A lot less talk and a lot more action!
Different strokes for different folks! I definitely find the different ways instructors work to be interesting. I sat in on a session the other month where an instructor just had the students do the problems on their own and then give the answers and it sort of helped open my eyes on ways to explain things better.
Thank you for the good explanation. My AAPC teacher wasn't able to explain why breast size is defined by a diagnosis and not just an encounter for cosmetic surgery, haha. i thought it's quite anti-body-positivity to call too large or too small breasts diseased in any way just because they are not standard size, but turns out, like everything in coding, it serves a purpose. Coding is so beautiful, in being so logical! 👑
Thank you! I hope you post more case studies.
No problem!
Thank you for this video. It is very helpful. I will be looking for more on your channel. Also, my mom and I have really enjoyed your Halloween and Thanksgiving coding videos and we are looking forward to your Christmas one!
Glad it was helpful!
My favorites 😍😍 Surgical coding cases!! Great 👍🏼
The best!
Thank you so much! you rock hun, appreciate you!
You are so welcome
The progression of your channel has intrigued me.
Hey Scully! Thanks for the support! Glad I'm "intriguing"!
thanks for coding a procedure. That gives a good example of what I will be doing:)
Glad it was helpful! I've got a lot more case studies I've been posted lately as well!
I am currently going thru Practicode and the E/M coding is really giving me issues. Im not confident in my code choices and unsure of what information to pull out and code. This video is the 3rd one I have watched and they have all been incredibly helpful and ive learned so much. thank you so much!!
I am doing Practicode as well and I am struggling with choosing what to code.
I love it you make it make sense.
Aw, thank you, Gwendolyn!
Thank you so much for this !!
You're so welcome!
Yes! More please! I am using the 10th edition CCS Exam Prep Book graduating with a certificate Level 2 coding, but the book is so new, my instructors don't really have time to go through them with us. I speed you up and make sure to follow along and take notes. Love your enthusiasm, I think coding is fun too!
I am going to register for a Anatomy and Physiology class already, but you made chomping these massive detailed medical reports a lot easier. THANK YOU!
how are you enjoying your studies so far? Have you taken any coding courses yet?
@@laurengrippaldi7424 I have and its going well.
@@che1925 i start my intro to coding class and other health info intro classes tomorrow
Thank you :)
I have been thinking about coding and after watching your videos throughout the week. I think I’m going for it. I worked as a CNA for years in hospitals and all areas. Have worked for the insurance company for a while as well. I am currently a fraud waste and abuse investigator and they hire CPC. I actually do case studies now not even paying any mind that I can try this out. Thank you.
That's awesome!! Do you have a program through your employer that they'll help pay for your certification?
Contempo Coding I think they may. That’s what I’m checking on Monday morning to verify.
Thanks again!
You're welcome!
THANK YOU SO MUCH!!!
You're welcome!
Can you explain how to spot the key words when you code signs and symptoms. I get confused a lot trying to figure it out.
Hello Victory!
Thank you for the great video. On the first case (Hernia) you mention that patch sometimes can be coded, you got the code for the hernia repair and the ICD 10 code. What about the patch if we can code it too how would you code it??
Big Thumbsup!!
Please focus the materials showing. Having a hard time seeing them. Taking billing and coding classes. Have 2023 book. If you would be so kind as to update the info. so we're on the same page. Just learning. You are very helpful. Thanks for the time spend helping us learn these different languages known as codes. Karen
Thank you..God bless you
You are welcome.
Excellent
Thank you so much 😀
Will you be able to make a psychiatry report coding video and breakdown of elements with key words
Do you have any recommendations on places to find case studies for more practice besides the link you listed? Just curious!
I have a question on the first case. When would I code the closure?
I’m struggling so hard with this I don’t know what I’m missing are there steps or guideline for me to follow,I’m literally lost once I do the initial diag. Please help if you can 🤣
🎉🎉🎉🎉🎉🎉 You so much😊
I have a question, if you don't mind helping me with. For the Reduction Mammaplasty case study, would you code the back and shoulder pain? If you look up macromastia, back and shoulder pain are symptoms of this diagnosis. In the guidelines, it says that if the symptoms are an integral part of a disease process, then you would not code them separately. Please help me understand this, thank you!
Good point. I think she coded the pain to establish medical necessity. She referred to it in the video.
omg! what about productivity , and timely fashion on getting these reports coded? it seems this one case can take 15 min. to get done. how many do you have to have done in an hour?
Hi Victoria:
I noticed that some employers necessitate experience in COBOL language to allow interviews. Do you think that EXCEL is not enough for the purpose of coding & billing ?
Medical coding is not like programming coding. I don't know what you're looking at but COBOL is not involved in any fashion for medical coding and billing.
Has anyone coded out the MT Samples surgery section?
how long should i take to code a report
somebody know the revcode for trigger points???????
Ty for this video. I was curious how many transcripts are coders required to complete per day? Is there an average or a quota? Does it differ from employer to employer?
It varies greatly. There's some types of services that can be coded very quickly and others that are more complicated (neurosurgery or radiation oncology for example) and take more time. So while there are productivity standards, it really depends on what type of services you're coding and even things like if you're working with an efficient EMR or having to wrangle a messy billing system.
Ty for the reply :) My 2021 CPT and ICD-10 books arrived this week. HCPCS I guess won't drop till December. I am a little lost in the woods as I can't afford to take proper classes at this time. I think I'm going to try and see if I can at least take online A&P and Medical terminology for free at a local CC. But I really feel like I have no direction as to how to study at this point. TL;DR- Really excited, no idea what I'm doing.
@@ContempoCoding for the examples you used in the video, what would a typical productivity quota look like for these cases? They seem complicated.
Could you list out the tabs you put on your coding books please?
It's in the video description here: th-cam.com/video/WvXqaT5SuQY/w-d-xo.html
why would you not add the mesh to this code? Or why didn't you add the mesh to this code?
Could you do a case study on ECMO implant and ECMO Management CPT coding
Hi Danielle,
I don't believe I have any documentation examples that I could utilize and I'm not sure I've ever personally coded for those services before.
@@ContempoCoding Thank you for getting back to me
Do you have to know what any of that means? Or have strong medical terminology cuz I’m kinda bad it, and it kinda scared me because I’m not a doctor I’m not gonna know what all of that means I’m just putting in the diagnose number. Was it easy at first when you first did this?
The more you know, the faster your can code, and the better your productivity will be. You will need to know it for the exam but in practice you can Google, it will just take extra time then.
If you don't know medical terminology, get some books and some flashcards and start studying. Part of the certification exam is just questions on med term.
This looks so difficult 😕 😫 I'm starting coding fundamentals May 11 😱
I'm not sure if I want to do this anymore 😕
Any job you get in to or any new skill you learn will be difficult at first. Have faith and give it your all.
I know what you mean 😶
So, in the real world of coding, you must read the entire op report in order to verify that the pre-op/post-op/dx is correct prior to selecting codes, correct? Unlike in taking the CPC exam where you must skim through it quick finding the key words to match the description of the correct code in the choices given within 2 minutes or less. Time management is still key.
Exactly! After a while you learn the parts you can usually "skim" (prepping the patient, for example) and what key words to pull out to support the coding. And how to look out for things that may be billable but the provider didn't list in the procedure heading.
@@ContempoCoding This is the question I was going to ask because I've been getting some of my case questions wrong. I was looking at the top only for dx, procedure, etc. so during the CPC exam is it normal for key information to be in the op report? I was so worried about time everytime I started reading through one, especially because I don't always understand what;s being done and I feel like im just going to confuse myself.
Does the provider write those PROCEDURE notes or is this done by someone else?
The provider is the only one that can write a procedure note that we can code off of.
Is the breast reduction example an inpatient setting?
Professional fee.
Hi those who are non biological background how they prepare surgical part of cpt-10????Because when I am learn the surgery it is very difficult to me understand the concept.please suggest me
Have you taken medical terminology and anatomy? If not, you should start there. Also, there is no CPT-10, I think you're confused with ICD-10.
@@ContempoCodingAnd why do you need an anatomy? You don't do it. You're just writing codes...
how much is the course?
How can I start your crc course
contempocoding.newzenler.com/
There is any placement
If you are asking about job placement, I do not provide job placement services or references.